503 N Daisy Ave & 1917 W Fifth St - Misc. Permit

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MAYOR lvliquel A. Pulido MAYOR PRO TEM Vicente Sarmiento COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele lllartinez Roman Reyna Sal Tinajero CIry MANAGER Devid Cavazos CITY ATTORNEY Sonia R. Carvalhol CLERK OF THE COTJNCIL Maria D. Huizar CITY OF SANTA ANA PTANNINC & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana. California 92702 www.santa-ana.orglpba NOTICE TO PROPERW OWNER Dear Property Owner: --'. - q KA t9 tz r*r._, s;fr. S+ . S. A An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at - A\o: U f:o.cw ^Qnwlo Ana-/ We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OF INFORMATON TIONS: Read and initial each statement below to signify you understand or verify this information. 1 . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder' it ng permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed rson and his or her employees while working on my property. My homeowner's insurance may not provide coverage for se injuries. I am willfully acting as an O\lr'ner-Builder and am aware of the limits of my insurance coverage for injuries to on my property. I understand building permits are not required to be signed by property owners unless they are responsible for truction and are not hiring a licensed Contractor to assume this responsibility. . l understand as an "Owner-Builder" l am the responsible party of record on the permit. I understand that I may myself from potential financial risk by hiring a licensed Contractor and having the permit flled in his or her name of my own. 4. I understand Contractors are requircd by law to be licensed and bonded in California and to list their license ers on permits and contracts 5. 1 3 alue n li understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an under state and federal law. 6. I understand if I am considered an "employer' under state and Federal law, I must register with the state and I government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to UN ployment compensation of each 'employee." lalso understand my failure to abide by these laws may subject me to seri s financial risk 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family ential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by nsed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is pe rmed under contract with a Iicensed general building Contractor SANTA ANA CITY COUNCIL tuyorPrcTem. Ward 1 Vsamienlo@santa ana oro MManlnez@santa-ana oro An96l câ‚¬ AmezoJa Mme2c!a@santa-anâ‚¬.oro P. o6vid Ee.avides OBâ‚¬nav d6@s6nla-ana.o.o RReha@sanla*na.oro STinai..o@s5nta-ana oro t MPulidoaosanla ana oro